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. 2019 Jun 28;21(4):291–301. doi: 10.1007/s40272-019-00332-y

Table 3.

Trough plasma concentrations of brivaracetam and its metabolites during the evaluation period for patients with focal seizures (pharmacokinetic-per-protocol set)

Trough plasma concentration (µg/mL)a
Patients with focal seizuresb
Aged < 4 years Aged 4 to < 16 years Total
End of week 1 (low dose) n = 11 n = 19 n = 30
Brivaracetamc 0.201 (64.4) 0.279 (81.0) 0.247 (76.3)
BRV-OH 0.050 (78.8) 0.061 (44.7) 0.057 (58.0)
BRV-AC 0.008 (94.4) 0.015 (77.3) 0.012 (89.9)
BRV-OHAC 0.006 (43.1) 0.008 (46.7) 0.007 (48.4)
End of week 2 (mid dose) n = 9 n = 11 n = 20
Brivaracetamd 0.348 (62.3) 0.379 (58.3) 0.365 (58.5)
BRV-OH 0.100 (63.1) 0.123 (55.3) 0.112 (58.3)
BRV-AC 0.016 (84.9) 0.020 (66.2) 0.018 (73.7)
BRV-OHAC 0.012 (34.9) 0.014 (37.6) 0.013 (36.1)
End of week 3 (high dose) n = 7 n = 11 n = 18
Brivaracetame 0.598 (60.6) 0.761 (57.7) 0.693 (58.5)
BRV-OH 0.200 (96.4) 0.277 (56.0) 0.244 (72.2)
BRV-AC 0.028 (77.9) 0.048 (68.9) 0.039 (77.6)
BRV-OHAC 0.019 (38.8) 0.029 (43.6) 0.024 (46.5)

Data are presented as geometric mean (coefficient of variation %). All reported p-values can only be interpreted in an exploratory manner, i.e., are nominal

BRV-AC acid metabolite of brivaracetam, BRV-OH hydroxy metabolite of brivaracetam, BRV-OHAC hydroxy acid metabolite of brivaracetam

aMultiply by 4.713646 to convert concentrations from µg/mL to µmol/L. Metabolite concentrations are expressed in brivaracetam equivalents and use the same conversion factor

bPatients with a history of focal seizures with or without secondary generalization and no primary generalized seizures at baseline

cWilcoxon rank-sum test for difference between groups aged < 4 years and 4 to < 16 years, p = 0.17

dWilcoxon rank-sum test for difference between groups aged < 4 years and 4 to < 16 years, p = 0.60

eWilcoxon rank-sum test for difference between groups aged < 4 years and 4 to < 16 years, p = 0.48